Staller Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

STALLER FAMILY PRACTICE

Practice address

23 S 1St Ave
Highland Park, NJ 08904-2113

Phone

(732) 874-6063

NPI assigned

Apr 16, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Branden Staller, MD

Title

Doctor

Phone

(732) 874-6063

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1700529815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S 1ST AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042113",
            "telephone_number": "732-874-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S 1ST AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042113",
            "telephone_number": "732-874-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLER FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-16",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "STALLER",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "732-874-6063",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Sluberski, LPC
• Joshua Snyder, PSYD
• Shawn Sobkowski, ED.D.
• Sofia S Mobile Primary Care LLC
• Speech Therapy Consultants
• Branden Staller
• Anna Steif, LCSW
• Birgitta Steinberg, L.C.S.W.
• Bonnie Jean Steinhart, OTR/L
• Stephen J. Gordon, M.D.,P.a.

• Primary Care Clinic/Center in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.